CFHC No4 Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CFHC NO4 INC

Practice address

2425 Babcock Rd Ste 102
San Antonio, TX 78229-4899

Phone

(210) 272-0233

Fax

(210) 272-0301

NPI assigned

Oct 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shapour Olia

Title

Ceo

Phone

(210) 272-0233

Specialties & licenses 1

Addresses

Other names 1

• Ariel Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91631

Legal name

CFHC NO4, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 8, 2022

Last certification

Jun 30, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 7, 2021 in TX

Enrollment address

2425 Babcock Rd
Ste 102
San Antonio, TX 78229-4899

Listed as

Ariel HospiceCCN A91631

Certified

Jul 8, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1245902899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD.",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-272-0233",
            "fax_number": "210-272-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-272-0233",
            "fax_number": "210-272-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFHC NO4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "OLIA",
        "authorized_official_first_name": "SHAPOUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-272-0233"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ariel Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.